Ben-Ezra Menachem, Hamama-Raz Yaira, Palgi Sharon, Palgi Yuval
School of Social Work, Ariel University, Ariel, Israel.
Department of Psychology, University of Haifa, Haifa, Israel.
Isr J Psychiatry Relat Sci. 2015;52(1):54-9.
Irritable Bowel Syndrome (IBS) is a debilitating condition that affects mainly the patient's mental health and quality of life. There is a gap in the literature regarding the relationship between cognitive appraisals and adjustment to physical and psychological aspects resulting from IBS. The aim of the current study was to explore the psycho-social factors that are associated with psychological distress among IBS patients and the contribution of cognitive appraisal to their adjustment.
One hundred and three patients diagnosed with Irritable Bowel Syndrome participated in the study. Each participant filled a battery of questionnaires targeting demographic and psycho-social factors. The study variables were analyzed via hierarchical regression along with supplementary analyses of multiple mediation tests of indirect effects.
The findings showed that psychological distress and depressive symptoms among IBS patients are better predicted by their global positive illness cognition appraisal, specific illness cognition appraisal of helplessness, resilience and to a lesser extent by social support, perceived optimism, illness cognitions appraisals of acceptance and perceived benefit. Global positive illness cognition appraisal gives us a sum of positive and negative appraisals into one unified appraisal.
Our findings highlight the salience of cognitive appraisal and resilience in IBS psychological adjustment. It seems that IBS patients might benefit from psycho-educational interventions designed to assist them in reducing their helplessness appraisal and increasing the appraisal of their ability to cope with the symptoms of their illness.
肠易激综合征（IBS）是一种使人衰弱的疾病，主要影响患者的心理健康和生活质量。关于认知评估与因IBS导致的身体和心理方面的调适之间的关系，文献中存在空白。本研究的目的是探讨与IBS患者心理困扰相关的心理社会因素以及认知评估对其调适的作用。
103名被诊断为肠易激综合征的患者参与了该研究。每位参与者填写了一系列针对人口统计学和心理社会因素的问卷。研究变量通过分层回归以及间接效应的多重中介测试的补充分析进行分析。
研究结果表明，IBS患者的心理困扰和抑郁症状能更好地通过其总体积极疾病认知评估、无助感的特定疾病认知评估、复原力以及在较小程度上通过社会支持、感知到的乐观情绪、接受的疾病认知评估和感知到的益处来预测。总体积极疾病认知评估将正面和负面评估汇总为一个统一的评估。
我们的研究结果突出了认知评估和复原力在IBS心理调适中的重要性。似乎IBS患者可能会从旨在帮助他们减少无助感评估并增加应对疾病症状能力评估的心理教育干预中受益。
